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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603294
Report Date: 10/02/2025
Date Signed: 10/02/2025 03:56:37 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/23/2025 and conducted by Evaluator Jose Anguiano
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250923131456
FACILITY NAME:SUNSHINE ASSISTED LIVINGFACILITY NUMBER:
198603294
ADMINISTRATOR:MARY MONTIANOFACILITY TYPE:
735
ADDRESS:3141 EUCLID AVETELEPHONE:
(310) 638-3847
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:68CENSUS: 66DATE:
10/02/2025
UNANNOUNCEDTIME BEGAN:
08:42 AM
MET WITH:Mary MontianoTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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9
Staff do not assist resident with showering
INVESTIGATION FINDINGS:
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On 10/02/2025 around 8:00 AM, Licensing Program Analyst (LPA) Jose Anguiano conducted an unannounced complaint visit. LPA met with the Administrator Marie Jane Montiano and the purpose of the visit was explained.
The investigation consisted of the following:
On 10/02/2025, LPA Anguiano interviewed seven clients (C1–C7) and seven staff members (S1-S7), including six caregivers and the administrator. LPA also reviewed facility records including shower logs, shower slips, physician’s report, behavior logs, incident reports, and the admission agreement for C1. The investigation revealed the following:
Regarding the allegation “Staff do not assist resident with showering,” it is being alleged that the staff failed to provide necessary bathing assistance to clients.

Please see LIC9099-C for report continuation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 11-AS-20250923131456
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: SUNSHINE ASSISTED LIVING
FACILITY NUMBER: 198603294
VISIT DATE: 10/02/2025
NARRATIVE
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 Interviews conducted revealed the following: 1 out of 7 clients reported having issues, while the remaining 6 clients disagreed with the allegation. 6 out of 6 caregivers and the administrator explained the facility’s showering process and disagreed with the allegation. Observations revealed the following: Clients appeared clean, well-groomed, and there were no observable signs indicating a lack of bathing assistance. Records review revealed the following: Physician’s report for the client who voiced concerns indicated that the client does not require assistance with bathing. Shower logs and slips were consistent with staff accounts. Additionally, behavior logs, incident reports, and the admission agreement for the client were reviewed and did not reveal any evidence supporting the allegation. Based on the evidence gathered, interviews conducted, observations, and records reviewed, although the allegation “Staff do not assist resident with showering” may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is unsubstantiated.
An exit interview was conducted, and a copy of this Complaint Report was given to the administrator.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Jose Anguiano
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2